Organization Active NPI

North Central Florida Endodontics,PLLC

  • Endodontics
  • Gainesville, FL
National Provider Identifier
1093456493
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
NORTH CENTRAL FLORIDA ENDODONTICS,PLLC
Practice address
1905 NW 13TH St Ste 2
Gainesville, FL 32609-3414
Phone
(352) 375-7776
Fax
(352) 375-1039
NPI assigned
Apr 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Thomas
Title
Insurance Coordinator
Phone
(352) 375-7776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1905 NW 13TH St Ste 2
Gainesville, FL 32609-3414

Mailing address

1905 NW 13TH St Ste 2
Gainesville, FL 32609-3414
Phone (352) 375-7776

National Provider Directory

National Provider Directory
Tax ID family
North Central Florida Endodonticspllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1093456493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 NW 13TH ST STE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093414",
            "telephone_number": "352-375-7776",
            "fax_number": "352-375-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 NW 13TH ST STE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093414",
            "telephone_number": "352-375-7776",
            "fax_number": "352-375-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL FLORIDA ENDODONTICS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "352-375-7776"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.